A client who is 80 years old and has difficulty walking because of arthritis tells the nurse "It is awful
to be old. It seems as though every day is a struggle. No one cares about an old person.". The best
response from the nurse would be
a. "Oh, let's not focus on the negative. Tell me something good.".
b. "It is a hard truth. We are a youth-oriented society.".
c. "It sounds as though you are having a difficult time. Tell me about it.".
d. "You are still able to get around, and your mind is as sharp as a tack.".
C
The nurse uses empathetic understanding to permit the client to express her frustration and clarify
her "struggle" for the nurse. The other options block communication.
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Which of the following types of phases are included in the chronic illness trajectory (CIT)? (Select all that apply.)
a. Caring b. Plateau c. Instability d. Bargaining e. Deterioration f. Rehabilitation
The earliest sign of increased intracranial pressure is
a. headache. b. dilated pupil. c. decreasing level of consciousness. d. diplopia (double vision).
The Bill of Rights for clients who are residents of nursing homes
A) differs from state to state. B) is enforced by the ombudsman. C) includes the right to be free from chemical and physical restraints. D) if violated, results in malpractice charges.
In assessing pain discrimination, the client has correctly identified, with eyes closed, a sharp sensation on the right hand when touched with a pin. How should the nurse then proceed with the examination?
A. Touch the pinpoint on the same area of the left hand. B. Touch the pinpoint on the right forearm. C. Touch the pinpoint on the right upper arm. D. Touch the right hand with a drop of cold water.